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176966 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $11,579.81 CARMEL, INDIANA 46032 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 176966 ETON CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239040 174428 72.37 FOOD BEVERAGES 1047 4239040 174430 1,133.40 FOOD BEVERAGES 1047 4239040 190276 1,652.24 FOOD BEVERAGES 1047 4239040 212748 2,123.24 FOOD BEVERAGES 1047 4239040 273396 4,447.54 FOOD BEVERAGES 1047 4239040 2978070 -31.00 FOOD BEVERAGES _1047 4239040 309270 959.17 FOOD BEVERAGES 1047 4239040 372573 1,222.85 FOOD BEVERAGES ACCOUNT INVOICE INVOICE, CUSTOMER PURCHASE ORDER x SALES. SALES DATE �n NO. O. D-10 TE. 'NO: NUMBER LOC. REP. ORDERED 90569922 0174 7!311039 90S6g575 22343 1054 0462 071301C?9 Your partner be,", the plate' t E: ORDER; NUMBER: 67$2'78 BILL CARMEL, CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS &RECRIEAT REMIT U.S. FOODSERV'ICE, INC. TO 1.41.1. E. 116TH. ST TO: 1235. CENT DRIVE E TO: BOX 660088 C ARMEL IN C ARMEL.. I N 46032. 46032'' INDIANAPOLIS IN ATT. MICHELLE COMPTON DEPT 00 800428 211 SHIPPED FROM: 1' I ?301 CUMBERLA RD, F I SI S I N SHIP DATE: 07 31 09 P a e 02 of 02 FREIGHT TERMS: SPECIAL DR I VER CANNOT DELIVER, ON THE ROUNDABOUT OUT IN PAYMENTTERMS: NET` 30. DAYS WSTRU QTY. QTY. SALES' PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E INVOICE SUMMARY TOTAL OT SHIPPED: b67:,2�: PIECES ORDERED X41 PIECES SHIPPED: 41 ITEMS SHIPPED.*, 114 a����a����a�t��a����atn�at��at�t�t�: �����a��������a������r����a���c�' ��r�t��a4a����a���a������a����a��� PRODUCT TOTAL 1133.44 Federal Occupation Safety; health. S• i 6ndards.. Section 1.910. 1 on' Hazard Communication requires manufacturers and distributors to provide Material Safety Data Sheets.. on non�4crod. products defined to be hazard'ous,; Products such as cleaning products and p esticides are included in.the scone e of the Standard, cvmplaance :,wth'. th law. MSDS. are avaalab�le to—U, Poodser4 >ice 9 r e pr esentative. JAXABLE AMOUNT s .06 Inc'. customers and can be obtained by contacting the �`rocuremen t Manager in our district office or b y advising our sales re resenta•tive. GEM SALES TRX Y ,,04 You may. contact Procurement Helpdesk at phone (317) 585 6719. PLEASE REMIT AMOUNT BY 08/30/09 AMOUNT 1133.40 c Purchase Desc riptbrl P.Q. 1 oq P 0 1& no O.L. p d1 Bu d g e t pg Punch asaf Date Approval Date M 42 i� A." Interest shall ecenia on 8 unpaid balances ex`caedmg credit tenns at a rate equal to the lesser of (a)1 'h°I ;per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S: Foodservice'° Ib) the rrWximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance with appli ble law. and do not reduce product cost. Product cost is delined as the supplier, packer or any other vendor delivered cost or Lo .b. unit p ce plus. X standard freight less of4idJoice discounts or oNinvoice allowances (i.e., manufacturer generated discounts or allowances on particular Items for set periods of time and which are specifically reflected on the invoice).' CUSTOMERS•'SIGNATURE: Visit www.usfood.com for a fast and easy way to order. q' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES;` SALES DATE NO. NO. DATE NO NUMBER, LOC REP ORDERED 905b9922 017443{ 4'/J31 /4 a'?` C75t'�7575 c�3�b3 iQ54 ?Obr_-' 07/36/09 ;�YOUr d the plate. partner beyon DELIVERY ROUTE: �L$ `J 2 L' OR�ER.:U`� ER: 6782 a BILL CARMEL CLAY 'P-AF� KS�,kkCR SHIP CARMEL CLAY F'ARKSgsRECREAT REMIT U.S. FOODSER` ICE, INC. TO: 1411 E. 116TH ST 1 T0: 1235 CENTRAL `.PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46(732 46032 INDIANAPOLIS' IN I; b� ATT. 'MICHELLE COMi?TtJlV ,E DEPT 00 800 428 211 E3 SHIPPED FROM: 12301,. CUMBERLAND RD FISHERS I N S HIP DATE:, 07 31 09 P a'g a 01 of 02 FREIGHT TERMS: f SPECIAL DR IVER CANNOT DELIVER ON THE ROONDABOUT OUT IN PAYMENTTERMS: NET 30 ,DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE RY 1 1, CS 1,04397 BAKINNG SODA 12/2. LB. HOSPITALTY: R CS 17. 17. EA 0428.. CAN BAR:SNCKR 2.07 OZ 48 A: SNICKERS. r EA 30.4300 91.29 ..CS 432976 KETCHUP, TMTD SQZ FOIL SS SHLF200/',9 GR MONARCH ;a CS 9". 0900 27.27' 3 2 2 CS SS97bb CHIP, CHS CNCHY PLN °EsAG 64 /2: CHEE -TOS, CS 27.4000 54.80 3,. 3 CS_ 559785.1,"t CHIP, TORTILA..NACHO CHS.'TROLE 641f ::75" DORITOS CS 26. 80.85 3 3 EA 80531 CANDY, RESES PNT BUTR CUP. 36 Erb, REESE'S EA 23.0600 69.18 3 3 CS 9463688.`. CNIF, TOk 7LA C#RN Yi.W FrND 6/2 :LK, EL'ASADO CS 18. 56.,1'0 s.: 'REFRIGERATED 3 3 C'S 4322665:, ICE _CREAM MIX, SOFT SRV li 5%2/2.5:1 GA PRAIRIE FM CS '28:8 800: 86.32 6 6 CS 733237?:.' CHEESE,. MO Z S 1RD ETMi PS I3AG. 4/5 LB, ROSELT g CS 49.0500 294:: 30 READY TO EAT Please Refer to Retutn Poll 3 `3 CS 745;1354 ICE t .MIX, Of=. •SRV GHOC. %2/2.,5 Gk PRAIRIE" FM CS S4p43" 86: 52 FROZEN 3 3 CS 20,11279 190107 CRUST, PIZA NEPLT THIN ,12 RS- 40/9 OZ BONICI CS f 30.4000 91: 20 CS 3. 3 PRETZEL, -KING SOFT SKD FZN. 50/5 :,OZ' StIFF�. fTZL: CS 27.6600 3 3, CS 2277663. ICE CREAM BAR, REEBS ANT RUTR 24/A OZ GOOD HUMDR CS 16.6900. 50. 2 2 CS 574,1.178 BUN, HMBGR .PLW 4 SLCD 10/ 12 HILLTOP.' HR CS, 22.'4000 4. :80. tT PRODU CLA' 6S RECAP TOTAL DRY,, PIECES ok!)ERED '18, PIECES'.SHIOPED: 18 ITEMS $HIPP E 7 397.,01. TOTAL REFRIGERATED �IECES,ORDERED 12. ialECES..SHIPPED: 12 `1 TEMS SHIPPED 3 467. TOTAL FROZEN, PIECES t1.kDERO. 11.. F'„CES `SHIPpEDt 11' „ITEMS SHIPPED 4 269. i}5 -r e A t r 4 k Interest shall accrue on an unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) vo.. per, month or t �'Promotional allowances, cash discounts, prompt pay discounts; grovAh programs and all other incentives are retaii,ed by U.S. Foodservice"' (b) the maximum rate that the customer may lawlul est a li to pay; aitI kt all events calculated m accords appncable law. Snd do not reduce product cross: Product cost is defined es the supplier, packer or any other vendor delivered cost or f.o.b. unit pace pWS X andard IreigM less og- Invoice discounts or off- Invoice allowances (i e., manufacturer generated discounts or allowances on particular items for et pedods of time and which are specigcalry reflected on tha invoiced' CUSTOMERS SIGNATURE: 9 VISIt www.usf00d.00M for.a.fast and easy way to order l �{jeff �loue�ua�cesa ACCOUNT INVOICE INVOICE, CUSTOMER PURCHASE ORDER SALES SALES DATE NO. "0' DATE NO. NUMBER t LOC REP. ORDERED 90569922 J174428 t ELIV3RY 1109 569575 SPECIAL ORDER 1054 0062 0.7/30/09 Your 1 partner.beyond the plate! ROUT ae53 2 ORDER. NUMBER: 678007 BILL ..CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY. PARKS&RECREAT REMIT U.S. FOODSERVICEo INC E. 116TH. SST'., TO: 1235 CENTRAL PARK DRIVE E TO: BOX. 660088 CARMEL IN CARMEL IN 46032. 46035 INDIANAPOLIS IN 46266-0088, ATT.. CHARLES. REDMON DEPT. 00 800 428 21'18 SHIPPEDFROM:12301 CUMBERLAND RD FISHERS IN SHIP DATE: 07 /31/09 Page 01 of 0 1 FREIGHT TERMS:. SPECIAL SPECIAL ORDERS 'CAN NOT, bE.. RETURNED PAYMENT TERMS: NET 30. .DAYS INSTRUCTIONS: QTY: QTY. SALES"'PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E IM DRY 1; 1 CS 2255396 COME, ICE CRM CAKE.FLAT BOTH 28/4S.EA JOY COME CS 72.3700 PRODUCT CLASS RECAP TOTAL DftY, PIECES ORDERED: 1 PIECES SHIPPED; 1 ITEt9 a HIPf!L1J'i 1, INVOICE SUMMARY TOTAL'WG:T- SHIPPED: 4.09 PIECES ORDERED: .1 PIECES SHIPPED: 1 ITEMS SHIPPED 1. a�. �as�������ta��������; i• ���a# ��ii•• ��r�# oit• n���• �t���ataz' a��������������• #��.�t� #��������3s•�•a�� #n��•� t Y. WODUCT TOTAL. 72. t Federal Occupation Safety and Health Standards. Section 1910 on Hazard n Communication requires -,manufacturers and Oistribu tors.to. 'provide Material Safety' Data Sheets on ribn-fbod ,products defined to be hazardous. Products s.uch as cleaning products.asid pesticides are included in the 4coppe of the Standard: Im .compliance•with the, law,. MSDS are available to,',U.S. Foodservice Inc :'.cu° imers. and can, b.e; obtained bV con,tac'ting_ the Procurement Manager_ in qur T�AXABLE�AMOUFT :00 district office or by advising your sales;!representative. GEM SALES TAX 7. .00 You may contact Procurement Helpdesk at phone 04 (317) 565 6 19. n Purchase G• PLEASE REM3T THIS AMOUNT BY 0'8 E722.37 /30/09 AMOUNT Description C�YIC��I �c-S' P.O. B P or F OD' q- G.L, I 3eo a�ot -�-c� Budget f l/ "s f 5Q -.ne Desc r fiPurchaser ;i Date E lt 1009 APProval Date f. i1 y i i(A ��f .��;•r' '!e Id't Interest sha0 acme on a0 unpaid balances exceadng estabr,shad credit terms et a mle equal to the lesser of (a) t -54% per month or y 'Pmmotional allowances, cash discounts, prompt pa discountsi g cwth programs all other incentives are retained by U.S. Foodservice"' Y .s the and do not reduce roduct cost. Product coal is defined as the sG lier, pecker or any other vendor delivered wst or f.o.b. unit rice plus a maximum rate that the customer may lawfully contract to pay, aM m ell events rakulateE in aaordance with appfrable law. p pp p I +t r deN stan (might less od- invoice discounts of off-invoice allowances (i.e., manufacturer generated discounts or allowances on pantculaf items for set periods of time and which are specifically reflected on the invoice).' 'CUSTOMERS SIGNATURE: sit www.usfood.com for a fast and easy way to,orde`r Zf/eff ocp�i�uataeac ACCOUNT r INVOICE INVOICE ,CUSTOMER' PURCHASE ORDER 'SALES,..'. SALES DATE NO: -NO.. DATE NO.' NUMBER= LOC. REP. ORDERED 9056 9922 Q 90276 8/03%09 90569575 1054 0062• 08/02/09 r Your partner beyond the plate.' DELIVER Ei 2715 Y 4 ORDER NUMBER: 679667 BILL CARMEL CLAY PARKS&RECREAT. SHIP CARMEL CLAY.PARKS&RECREAT REMIT' U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL.' PARS, DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 IND.I.ANAPOLIS IN 46266 -0088 ATT.. MICHELLE COMPTON IDEPT 00 800 428 2118. SHIPPED FROM:,.1.2' CUMBERLAND RD FISHERS I!V sHIPDATE: /43/Oq Page 02 of 02 FREIGHTTERMS: SPECIAL DRI CANNOT 'DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET .30� DAYS INSTRUCTIONS: QTY. "QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E• PRODUCT CLASS RECAP *4 TOTAL DRY PIECES.ORDERED: 6 PIECES.SHIPPED: 6 ITEMS SHIPPED: 3 ,°186.38 TOTAL REFRIGERATED PIECES ORDERED: 18 PIECES SHIPPED: .18 ITEMS SHIPPED: 10 573.61 ",,.TOTAL- FROZEN PIECES•ORDERED: 34 PIECES SHIPPED: 34 ITEMS SHIPPED: 11 �t INVOICE SUMMARY TOTAL WGT SHIPPED: 971. 42 PIECES ORDERED: 58' PIECES SHIPPED: 58 ITEMS SHIPPED: 24 PRODUCT-TOTAL 1652.24 4 me Pdreh Desaiptipn i AUG 0 5 2009 P.O. Po TAXABLE AMOUNT .00 O.L A te; 30O X00 r a O _.7 GEN SALES TAX 00 B Food r✓ t Purim Date_,_.- A Date PLEASE REMIT THIS AMOUNT BY 07/02/09 AMOUNT g 1652.24 c 600 .366 Of Interest shall accrue on all unpaid balances exceeding ectabllshed credit tertre al a rate equal to he lesser of (e) 1 •,5 %per month or 'r Promotional aAOwances, cash discounts, prompt pa discounts, s g programs and all other incentives are retained by U.S. Foodservice" t and do riot reduce roduct cost.,Product cost Is defined es the su Iler, esker or en other vendor delivered cost or f.o.b: unit rice plus .X (b) the maximum rate that the customer may lawfully contmct to pay, and in all evenb calculated in acoerdance with applicable law. p PP P y p P r standard freight less og- Invoice discounts or ag-invaco allowances (i.e., manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the imice).• +i. CUSTOMERS SIGNATURE: n Visit www.usfood.COM for a fast and easy way.to order. Zf/ er� 'yrUCeelate?youa�uai,ieoi'.` ACCOUNT INVOICE INVOICE ,a. w CUSTOMER PURCHASE ORDER SALES SALES DATE,, r,9 NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0 a27b 8103/09, 90569'575 1054 0062 08/02/09..'- Your beyond the plate.' ._y� f DELIVERY ROUTE: 2715 1 4 ORDER NUMBER: 679667 BILL CA AL. f LAY PARKS &RECREAT SHIP CARMEL CLAY •PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 14 g "i 6TM ST TO: 1235 CENTRAL PARK DR I VE. F TO: s BOX 660088 CARMEL. IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 QTT. MICHELLE COMPTON 7 0 bp Q*G 800 428 211.8 f SHIPPED FROM: 12 2:3 CUMBERLAND RD ISH tT N SHIP DATE: 08I03 /O9 Page 01 of 02 FREIGHT TERMS:, SPECIAL DR IVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. OTY. SALES PRODUCT C DESCRIPTION PACK SIZE LABEL 0, WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE "PRICE E DRY 1 1.-. A CS 5337712 SAUCE, "PIZA TOO FULLY PREPD 6/##10 CN ROSELI CS 33.9900 33.99 1 •1 CS 9328311 WRAP, FOIL 12X10.75 INFLD 12/200 EA MONOGRAM B CS 74.8700 74..87 4 CS" 9423625 BOX, PIZA 12" CRBRD CRRG B '50 EA PACKER CS 19.3800 77.52 REFRIGERATED 1 1 C5t!�( C� HOMY SLCD W/A REF .67. 6/2 LB HILLSHIRE CS 45.6044 45.60 1 ,1 CS 0442152 TURKEY, BRST SLCD .67 Z OVN 6/2 LB HILLSHIRE CS 48.8100 48.81 READY TO EAT Please Refer to Return Pol' 1 1; 7 COO(�3Q041(,a FLOUR 12" PRSSD REF 12/1 DZ EL PASADO CS 34.4800 34.48 A EAT- -,Please Refer to Return Policy 4 E�o46$� ICE CREAM MIX, SRV VNL 5%2/2.5 GA NAIRIE FM t CS 28.8400 115.,36 1 1 CS 500 BANANA, GRN FRESH f0 LB PACKER i CS 7.6100, 7.61 1 1 CS 7327505 TORTILLA, FLOUR GRN SPNH 6/1 DZ ELPHH CS 25.1100 25.11 3 3 CS 7332372 CHEESE, MOZZ S FTHR PS BAG 4/5 LB, ROSELI B CS 48.0904 144.27 READY TO EAT Please Refer to Return Polio 4 4 CS 7451354 ICE MILK MIX, SOFT SR.V CHOC 4%2/2.5 GA NAIRIE FM CS 28.8400 115..36'" 1 0 CS 9332230 LETTUCE, RMN CHPD FRESH LB CROSS VALY READY TO EAT jPlease Refer.to Return Polict ":SUB 1 CS 6326573 LETTUCE, RMN CRUN FRESH 10 LB ROSS VALY CS 19.8204 19.82 READY TO EAT Please Refer to Return Policy 1' 1. CS 9332305 SALAD MIX, ICAG W1 RED CBG 4/5 LB CROSS VALY CS 17.1900 17.19'', READY TO EAT }Please Refer to Return Policy 1 FROZEN 2,'...' 2 CS 0105700. BEEF, PTY GRND,80 /20 4:1 80/4 OZ 1893 CS 45.5700 6 6. CS -,2011278 PRETZEL, KING SOFT BKD FZN. 50/5' OZ SUPR PRTZL CS 2 ?.6600. .165.96 3 3 CS 4690392 .'ICE GREAPt CUP, I'1'TIBITZ COIN 24/5. OZ KEMPS CS 25.1000 75.30 3 3,' CS 4690525. ICE CREAM 'CU P, ITTIBITZ CK &CR 24/5 OZ KEMPS, CS 25..1.000- 75.30 33 CS 4694519,..' ICE: CREAM CUP. "IT 'BANA SPLT 24/5 .OZ KEMPS CS. 25:. 1000 75.30 w`6 6. .CS 4875571 'HOT °DOG, AB 5 6 CKD FZN 10 LB TYSON CS 25.1500 150.90 3 3: C,S. `.49.04603. ICE CREAM. CKY. ITTIB24 /5 O.Z KEMFS CS, 25:10.00 75.30 1 1 •C$' .5180963':._' FOP ICLE,. 'ASST FLVR' HTfiCL ON 1262/1 ZS.OZ. POPSICLE _CS 27:7800 27.78 2 n CS -.5741178:- BUN,: HPti PLN:•4" :SLCD, 1.0 %1. EA. hfI:LLTI�F HR. CS 2� 4.000 44:80 2 CS 5741 28 .BUN, HOT' DOG P 6 SLCD "12/1;2 EA t-lILLTCIP. HR CS 26.9000 53.80 3 .3 CS 818799.,9,'. ICE: CREAM; BAR,.: CiOG TACO V1dL24/4. OZ KLONDI!(E CS -10. 8900 56.67 Interest shall ac=e on ill unpaid balances e6eding established pent temp eta rate equal to toe lesser of (e) -'hY. per monsi or aAowences, cash Oiscoums, prempt pay Oiscoum,, growth programs and all other incentives ere retained by U.S. Faodservlce"' (b) the maximum rate that the customer may lawluly Coatrep to pay, end In egeverss calculated in eaoNanpe with applicable law std do t reduce produp cost: P mst I tlefned as suppll Ir, pecks r a other veMOr delivered pnt o .b. unit p plplus n ,freight less oX- Invoice" ras or' invoice a owa (e ma a r r generated discounts ore noes on part lar X home for set periods of time end which are specifleally reflected on the invoice) CUSTOMERS SIGNATURE: it www usfood com for a fast and easy way to order. ZfJerlcec�ate2Louz�uo�oceoa vis ACCOUNT INVOICE INVOICE CUSTOMER 1?URCHASE ORDER SALES SALES DATE a NO. —NO DATE NO. �'a'NUMBER LOC. REP. ORDERED s s 905699''c 40569575 1054' 0062 08!03!09 Your partner beyond the plate.' u •IV.F LRDUTE:3182 3 ORDER NUMBER: 680910 BILL SHIP REMIT' 4 CARM .CLAY PARICSk RECftEAT CARM L CLAY PARKS.&RECREAT U �_t,:. FOODSERVICE. INC. TO: 14'11- r 116TH ST T0: 1X35; CENTRAL PAR{ ,.DRIVE E TO: BOX 660088 CARME IN CARMEL IN 46032,.` 46032' INDIANAPOLIS IN 46266 -0088 ATT. MICHEL E COMPTON q DEPT -1#k 00 1 804 428 2118 SHIPPED FROM;,• (1MIiERLAND .RD FISH> RS IN SHIP DATE: 08/04/09 Page 02 of 02 FREIGHT TERMS: SPECIAL DRIVER, CANNOT DELIVER ON THE ROUNDABOUT OUT IN 'PAYMENT.TERMS:..NET 30 DAYS INSTRUCTIONS. CITY CITY. SALES PRODUCT 0' F PRICING UNIT EXTENDED ORDERED SHIPPED' UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE s"".. E. INVOICE SUMMARY TOTA#.. WGT SHIPPED: 1209.91 PIECES ORDERED: ,P0 PIECES SNIPPED: 84 ITEMS SHIPPED:' 26 l PRODUCT TOTAL 2123..24 TA`xABLE AMOUNT .00 AUG 0 52 009 BEN SALES TAX x oa at -7' PLEASE REMIT THIS AMOUNT BY 09V03109 AMOUNT 2123.'x4 °J r Al t I Purchase rD Deiscrip nD I Q.1-0 d,L00 4239 N Bud ra Une '1. Purt Interest shall e m rat on all unpaid balances lawful eslaDlishod credit letup al a role equal to t lesser of (a) 1 -''X par momh or 'Promotional albwances, cash dLSCOUnIS, prompt pay dtiswuma, grorAh pngmms and all oUer incentives are rotabied Dy U.S. Foodservke"' s� G (b) the maximum rate that be wsiomer may lawluty conimcl to pay, arid in et ralCAated in accordance Um applicable law. and do not reduce product cost. Product cost is defined as the supplier, packer or arty oNer vendor defrvered cost or f.e b. unN price plus Xpf II�^ 1 1 F standardfrolght less at- Imroice'r"wlm or off. elbwances (i.e., manuladurer generated dlscounts or albwances on pamwlar 11 i I ba�ms for set pedo0s of time and,wNch are spedficelly mnacted on tre imroica),' CU E SI NATURE: r Vfsif www tasfood.co for a fast and easy way to order. n. i:. V [ve� /1LeCCQte�flOE ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER' SALES SALES DATE. NO -.NO DATE, NO. i NUMBER, LOC. REP. ORDERED 90569922" 748 8/04/09 905695 1054 0062 08/03/09 ti A $t Yourepartner beyond the plate.' p DELIVERYRouTE: 3322 1 ORDER NUMBER: 680510 BI B CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 141 1 E 116TH ST T0: 1235' CENTRAL .PARK EiR I VE E TO: BOX 660088 CARMEL I1V CARMEL IN 46032 I, a 46032 o INDIANAPOLIS I N 7 :e,� 46266 -0088 ATT_ MICHEL'L:E COMP i D P .0 800 428 2118 SHIPPED FROM: SHIP DATE:, 12301 CUMBE I�tD RD FISHERS ;IN 08/04/09 Page 01' of 0,2 FREIGHT TERMS: A.� f; SPECIAL DRIVER CANNOT DELIVER 'ON THE ROUNL?AEi ©UT` ~C3U7 IN PAYMENT TERMS: N�'I 3D DAYS i INSTRUCTIONS: QTY. QTY: SALES PRODUCT ap O f PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER yh 4( DESCRIPTION PACK SIZE LABEL E WEIGHT x UNIT PRICE PRICE "DRY 4 4. CS.:.0779991 WATEk, SPRG NTRL F`LST BTL� ;24/16.9 OZ :SPRING RFL' CS 5.3000 V 21,20 3 3 CS. 0814236'CUP, FM 16 Z WHT 20/25 .EA MONOGRAM CS 18.4000 55.20 4 4 ICS 4260238F'' SAUCE, CHS NACHO SHLF STABL .4/107 OZ_ ORTEGA CS 47.2200 188.88 1 1 EA 5083514' CANDY, M &M PLN 1.69. OZ 48 EA M M EA 30.4300 30.43' •1 .9. CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE C5 34:450t} 34.45 1 1 CS 5337712 SAUCE, PIZA ThiTO FULLY FREF1} 6! #10 Chi ROSELI CS 33.9900. 33.99 2 2 CS 56015,x`3 CHIP, POT KTL 8BQ BAG SMKHS. 64/1.375 OZ MISS VICKI CS 28.20,00 S&140 1 1 EA. 8036576 CANDY, M &M FHT 1.74 OZ 48 EA M M EA 30. 4 0 30.43 2 CS'` 9'423625 BOX', PIZA 12" CRBRD CRRG B 50 EA PACKER CS 19.38#0 38 S- 6 `CS-. 9463688 CHIP', -TORTLA CPRN YLW RNB,. ,t 6/2 LB EL PASADO CS 18.7000 112.20 ,t f REFRIGERATED 3 3 CS. A322665 I.CE,CREAM MIX,_,SOFT SPtV'VNL'5y2 /2.5 GA PRAIRIE FM CS 28.8400 86_ i .Y.-- CS 6329676 PEPPERONI, SLCD 14 =16 CT NO 2/5 LB ROSELI GS 30, 3240 0132 2 CS 7332372'" CHEESE, MOZZ SHRD FTHR PS'BAG 4/5 LB ROSELI B. CS 44.4500 READY TO' EAT Please Refer; to Return Policyy 3 `�3 CS .7451354 ICE MILK MIX, 50FT SRV CHOC"4 2 /2.5 GA PRAIRIE FM CS 28.'84{)0 2- FROZEN 4 4 I CS 0105700 BEEF,.. PTY GRND !80/,20 4:4 ;SESD 80/4 OZ ABU CS 45.5700' .482. '28 -2 2 �5. 1190!.07 CRUST, PIZA NEF;LT THIN 1,nj, RS 40/9 OZ BONICI GS. 30.4000: 60'.80 3 3 PRETZEL, KING SOFT BKD FZN- 50/5 OZ SUER•PRTZL CS 27.6600 82.98 3 3. r1 E CREAM CUP, ;ITTIBITZ COTN 24/ OZ ItEMF$ CS ?5:1000: 75:30 3 46905'25 ICE CREAM: CUP, ,'ITTIBITZ, ;;CK&CR 24/,5 OZ KEMPS ':''CS 25.1000 75.,30 3 .3 CS 4694519 ICE CREAM CUP IT BANA"Pt'" 24/5 OZ'' KEMF`S CS 25. 1000 75. 10 10 04$M7 CD*ED AB 5:1 6° CKD 92FW 1'ZN 10 LB TYSON'. CS 25.1500 251.513 3 3.� 49046 ICE CREAM CUP, CKY DOU H IfiTTI$24 /5 OZ KEMPS CS 25. 1000 75:30 '�C�57'4f�8� �HMBGR PLN 4 aLCDti �d t. f0. /121EA HILLTOP HR M 22:4000 44;80 v8 8 CS 5741228 B HOT DOG PLN'6" SLCf`.r 12/12' EA HILLTOP HR ,.CS'. :26.9000 215.20 3 3 CS 7175128 ICE CREAM CONE, VINL CHAMP •IW 24/4.6 OZ BLUE.BUNNY C,S 17.5000 .52.50' 2 ,2 .,:'CS 8187999 ICE CREAM BAR, CHOC TACO, VNL24 /4 OZ KLONDIKE GS, `..18.8900 37.78 a is PRODUCT CLASS RECAP, 4* TOTAL DRY;; PIECES'0kDERED �5� PIECES SHIPPED 25 ITEf'!S'SHIPPEt}: 10 601.94. TOTAL REFRIGERATED PIECES ORDERED' r 9 PIECES SHIPPED: 9 ITEMSsSHIFPED: 4 292.26 Tt7TA FROZEN FI:ECES.OROERED 46 FIEL' S SHIPPED: 46 9 ITEMSg.SHIFPED: 12 1229:04 Interest shall acme on all unpaid balances ezcaedirg established credit temp et a rate equal to Iris lesser of (e) 1hH, per month ar 'Promotloriel ellowa�ces cash O�acounts; prompt pay'dlscounts, groxTh programs end ell other InceniWes are relelned by.U.S. FoodseMc6"' r• M the maximum rate that the customer may lawfully contract to pay, and to; m; even" calculated In accordance with appikeble law an do not redude,produd doet Product 'cost is defined as the supplier, packer orerry other vendor delivered ooat'or i.c.b. unit pdce plus X i standard freight off Imroice: discounts or og•invuke allowances (i.e., manufacturer generated discounts or atlowances on peNaler j Items for set periods of gme ero whkh are spedfcely reflected on the [mice).' CUSTOMERS SIGNATURE: r V for a fasf and eas way.,to order. isit www.usfood ci fi fit: ..r e wr';f P a I- t,_ dfJeiPfyrileeeCate77/ou!c aa�oceoa ACCOUNT I NVOICE I V 0' E CUSTOMER PURCHASE ORDER SALES SALES DATE NO. �N DATE NO. NUMBER LOC.. REP. ORDERED 90169922 0273396 084071.6 '90569575 1054 0062 08/06/09 you E: r Partner beyond the Plateplate! 255:1 I 1 ORDER NUMBER! 684241 ERY BILL CARMEL CLAY PARKS&R.ECREAT SHIP :CARMEL CLAY. PARKS &RECREAT REMIT U.S. POODSERVICE, INC. TO: 1.411 E. 116TH .ST TO: 1 235 C E N TRAL PARK DRIVE E TO: CARMEL. IN CARMEL I,y. BOX 6600e8 46032 46032 INDIANAPOLIS IN 46266- 0088 ATT. MICHELLE COMPTON DEPT 00 600. `428 .2118 SHIPPED FROM: 1.2301 CUMBERLAND RD. f'ISHtRS IN SHIP DATE: 08/07/09, Pa e. 02 of 02 FREIGHT TERMS: SPECIAL" DR CANNOT .DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30' DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE 2 2 CS 5741178 BUN, HMBGR PLN A" SLCD 10 EA HIL HR CS' 22.4000 44.80 B. 8- CS 5741228 BUN, HOT DOG .PLN 6" SLCD 12/12 EA HILLTOP HR CS. 26.9000 215.20 5 5.`/ CS 71751.28 ICE CREAM CONE,. VNL CHAMP:IW 24/4. -6 OZ BLUE BUNNY CS 17.5000 '87:50 •.5 5 CS 8187999 ICE CREAM BAR, CHOC TACO.& VNL24 /4 OZ KLONDIKE CS 18.8940 94.45 #�t PRODUCT CLASS RECAP TOTAL DRY 58 PIECES ORDERED: PIECES SHIPPED: 58 ITEMS SHIPPED:, 13 1513.43 TOTAL PIECES MDERED: 26 PIECES SHIPPED,: 26 I: -TEMS SHIPPED: 7 772.'48'- TOTAL FROZEN PIECES .ORDERED: 86 PIECES SHIPPED: 86 ITEMS SHIPPED: 14 216-1.63 INVOICE SUMMARY W TOTAL 1467 SHIFIPED. 2553.015 PIECES ORDERED: 170 PIECES SHIPPED: 170 ITEMS SHIPPED': 34 PRODUCT TOTALS 4447.54. Purchase b oes cri lion C'o Ce C l o AU 3 P I 2009 P.O. �f !o Poo h TAXABLE r AMOUNT fi QO G.L. 47. 300 /00. 42 �9O GEN S AL ES T AX' s iC Budget Line Descr FOGY Of V, 0 /nom Purchaser Date Approval Date PLEASE REI1IT.,THIS_, AMOUNT BY 09/06/09 AMOUNT 4447.54 Interest shall accrue on all unpaid balances exceedirq established credit tam at a rate equal to the lesser of (e) 1 �th or a'promo d rotlum cash C, Product p d as Iha supp P o�any do�del vered�co o r I o.b.' un p�ce p s (b) Me maximum rate that the customer may lawfully contract to pay, and in sit events calculated In accordance with iwble law. Stan tlartl Ireight lase ofbinvoioe discounts or off•involce allowances (i.e., manufacturer generated diswums 'or allowances on pemcular X ems for set periods al time and which are apedtineny refle an the invoice).' '(ea. y, pLA, CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy way to order. Z{/ef//i�eeeCauZ�ourc�rcataeQd N ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE~. NO., NUMBER LOC. REP. ORDERED 90569922( 027, 3396 08l07/09� 90569575 1054 0068 08!06/09 Your partner beyond the plate.` `•DELIVERY ROUTE: 255'1 1 ORDER NUMBER: 684241 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL 'CLAY PARKS&RECREA•r REMIT U.S.. FOODSERVICE, INC. TO: 1411.E. 116TH ST TO: `1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 ATT. MICHELLE COMPTON DEPT O{?y_: 800 428 2118 SHIPPED FROM: i2301 CUMBERLAND RD. FISHI BPS IN, SHIP DATE: 08/07/09 Page, 01 of 02 FREIGHTTERMS: SPECIAL DR CANNOT DELIVER ON THE ROUNDABOUT OUT IN' PAYMENT TERMS:. NET 30 DAYS INSTRUCTIONS: QTY.: QTY. SALES PRODUCT C O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE DRY 10 its' CS 0779991 WATER, SPRG NTRL PLST. BTL 24/16.9 OZ SPRING R£L CS 5: 30.00 53.00 5 '5V' CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM CS 18.4000 92.00 3 '3 CS 1462803. SPOON, TEA MW WHT BULK PLST 1000 EA PRIME CS, 14.0000, 42.00 3 3 ,CS 3017001 CIRCLE, PIZA 12" 100 .EA PACKER. CS 13.6400. 40:92: 2 2✓ EA 4053336'' CANDY, BAR MILK CHOC 36 EA HERSHEY EA 22.1100 44.22', 0 10. -,e G'S 426.0238': ,SA, UCE, CHS NACHO .SHLF .STABL 4/107 OZ ORTEGA CS- 47.2200 472.20 1 1,/ CS 451 809 TRAY, PAFR FOL59 5 LB SAGE 2/250 EA MONOGRAM CS 48.2200 48:.22 3 3✓ CS 53:1 =600 Ct3NE, ICE CAM. CAKE 22S t:AT 36/20 EA: JOY CONE 34.,4500 103.35 2 P A' T TO U PD 6. C RO EL :,11 fdC��. s 4 ::y... I aa'' ..m,; i S 33,:_,9.9..00 iQ1,. 97. "t'A�L.. 3 S•,. Y f_ c +:,:1 �F .?ueyi ti.; -in y..a4.: 81 7'' APKINI, DTSPR 'INFLD WH Xi �4'l250' EA YNAP k S 9 "96 174:,8$ 1 1✓ CS 932'8311 WRAP, FOIL 12X'"10. 75 INF D 12/200 EA MONOGRAM B' tS 74.8700 7.87 4 4✓ CS 9423625.,80X, PIZA CRBRD.CRR 50 EA PACKER CS 18.4500. 73.80 1&1' 10 10 'CS 9463688 'CHIP, TORTLA CORN YLW RND. .4/2 LB EL PASADO CS 18.7000 187.00 REFRIGERATED .4 4✓ CS 4322665. E CREAM MIX, SOFT. SRV VNL 59„2/2..5 GA PRAIRIE FM CS 28.;8400 115.36 .3 3� EA' 4365219C. MER SL,CO '135 CT SPCRD5 LB GLNVW FRMS' S EA 12.7500 38.25 1 1`� CS 5006556." f� ESH 10 LB PACKER CS 7.6100 7.61 10 1 CS '733 1 a, HRD FTHR PS BAG 4/5 LB ROS B CS 42.4000 •424..00 3 App TEAT e Refer, to Return .Po1ic 4 4 CS 7451;a-54 PR 4 fCE #i� 44'� SRV CHOC 4%2/2.5 GA AIRIE FM CS "2 B.. 8400 115.36 2 CS 93322 1� T 6 /2 37.52 LB, CROSS VALY CS 18.7600 Fc'E, A l E, FRESH: :i'lease kefer -to Return Polic 2. 2--'7 CS 9332305 SALMI,71;,� .,BBG W/ RED CBG. 4/5 ,LB CROSS VALY CS 17.1900 READY TO T Refer to Return :Policy FROZEN 4 4✓ CS 0105700 BEEF, PTY GRW.80 /20 4:1 SESD 80/4 OZ 1893 CS .45.5700 r:8 8 CS 1190107 CRUST, PIZA NEPLT THIN 12' RS OZ. BONTCI CS' 30.'4000 243.'20 10 10 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 .OZ SUPR PRTZL CS 27.._ 6600 276.60 :5 5✓ CS. 2277663 ICE CREAM BAR, REESS PNT' BUTR '24/4. OZ GOOD HUMOR CS •16.6900 83. 4.5 6 6 CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ KEMPS CS 25.1000 150.60 '6 6 CS' 4690525 ICE CREAM CUP,`ITTTBITZ CK&CR 24/5 OZ KEMPS CS. 25.1000 150.60 6 6 CS 4694519.... ICE CREAM CUP, BANA SPLT.. 24/5 OZ' KEMPS CS 25.1000 150.60 10 10✓ CS 4875571 HOT DOG, AB 3:1 6" ,CKD FZN 1.0 LS TYSON CS 25.1500 .251.50 6.° 6 ✓'CS 4904603 ICE CREAM CUP, CKY 'DOUGH ITTIB24 /5 OZ KEMPS CS 25.1000 150.60 .5 5✓ CS, 5218862 '.'ICE CREAM SANDWICH, VNL. 24/6 OZ BLUE BUNNY CS 16.0500 80.25 Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) l -lh% per month or. 'Promotional alowances, cash discounts, prompt pa discounts, growth programs and as other incentives are retained by U.S: Foodservice`v: (b) the maximum'rate Nat the customer may lawlulry contract to pay, eM In elPevents calculated in accordance wiN applicable law. and do not reduce product cost: Product cost Is defined as die supplier, packer or any other vendor delivered cost or t.o :lo unll price plus X I N sWnde d lmt hllese olf-mvoice discounts or od- invoice allowances (i e, manufacturer. generated discounts or allowances on pdd alar L items for set pedals of time and whkh are specilically reflected on Ne iri ced'. CUSTOMERS SIGNATURE x t and easy way to order. z f k J Y t Visit www.usfood com or a fast 3 Zf/erA see.ate'l�oun i�icetxeaa ACCOUNT a INVOICE INVOICE CUSTOMER, PURCHASE ORDER SALES' SALES DATE NO. NO NUMBER LOC. REP. ORDERED 90569922 309270 009 90569 75, IQ54 0062 08/10109 1 Vour beyond the plate*.. E: 1722 /n,; ORDER NUMBER: 68 66 42 BILLS CARMEL CLAY PARKS €aRECREAT SHIP CARMEL CLAY PANK5&RECREAT, REMIT U.S. �FOOPSERVICE,' INC.. TO 1411 E. 116TH ST TO: 1235 CENTRAL Pt�t,K DRIVE E TO: BOX 660088 flv. 46032E I f�t';f 446032 atf I N INDIANAPOLIS T N °1, ATT. MICHELLE COMPTON DEPT 00 804 821.18 SHIPPED FROM: 1 2301 .CUMBERLAND RD FISHERS IN SHIP DATE: 08111l09 Pa a 02 of 02 FREIGHT TERMS: SPECIAL DRIVER CANNOT 'DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS:. NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT ORDERED SHIPPED UNIT NUMBER::: DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED E UNIT PRICE PRICE �a# INVOICE SUMMARY TOTAL WGT SHIPPED: .333.76 PIECES ORDERED: 33 PIECE SHIPPED: 33 ITEMS SHIPPED 17. :PRODUCT TOTAL 959.17 Purchase TAXABLE AMOUNT,,. '00 Descriptlon COW P. ,C q' I /As GEN SALES TAX, x .00 P.O.• o?�yt< rF Bud Line c, HIS. AMOUNT BY 09/'10/09 AMOUNT. Destx �J��/ PLEASE REMIT Purchaser Date AppraVal Date A U,� 1 3 2009 Interest shell accrue on all unpaid balances excee in stahlished credit terms at a rate equal to theJe er of (ap 1 per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservice'° (b) lh vmaximum rate that the customer may lawfully contract to pay, and in all events ma lated 'w•accerdance with applicade law. and do not reduce product cost. Product cost is defined as Me supplier,.packer or erry other vendor delivered cost or f.o.b. unit price pbrs 'X ,'+o-s,.t a: y standard Ireight less otl•invoice discounts or oN•invoice allowances (i.e. manutaclurer gene!ated discounts or allowances on particular Via, items for set periods of time and which are specifically reflected on the invoice).' C STOM RS SIGNATURE: f Visit www.usfood.corn for fast and.easy way to order. ?(/e rirzcruuteZlaiva uetxeeo ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO. NUMBER LOC. REP. ORDERED E. C�.9P,70 f i i f 90569575 1054 0062 08/10/09 Your partner beyond the pl t DELIVERY, ROUTE: 1 722 ORDER NUMBER: 666642 1. BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL .CLAY PARK S&RECREAT REMIT U S FOODSERVICE, INC., TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: CARMEL IN CARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN 46266 -00.88 ATT. MICHELLE COMPTON DEPT 0Q .800 428 :21'18.. SHIPPED FROM: 12301 CUMBERLAND RD FISHKR-S IN SHIP DATE: 0$ f11 /09 Page 01 o 02. FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT PAYMENT.TERMS:.)� TY INSTRUCTIONS: QTY 'QTY: SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1 CS 5597604 CHIP, CHS' CHCHY PLN `BAG 64/2 OZ GHEE =TOS CS 27.4000: 27..40 1 1 _CS 560197 CHIP, POT KT.L JALAP BAG HAND,. 64/1.375 OZ KISS VICKI CS 28.,2000 28'.20 1 1 CS 5605431 CHIP, MULTGRN ORD14 -SALSA BAG 64/1.5 OZ SUN. CHIPS CS 26.9500. 26,:95'. 1 1 CS 5605472 CHIP, MULTGRN HRVST CHEDR BAG ,64 /1.5`OZ SUN CHIPS CS, 26. 9500 26.95 3 3. CS 5865282 CONTAINER, 6X6 FOOD'PLST..1' 500 EA MONOGRAM CS w,,. 50. 151.65 'REFRIGERATED' CHUG12 /1•_ P7 1 1. CS 3254901 MIL 2% PLST- F. DEAWS CS 9.9500 9:95 t MILK LOW EAT RE T DY �Tt� '.le, se eter o ,Fie; Pot :.K fur z I•~ :a L W FAY` lYo PLS REF1q /1 "FT DEAN S C5" 9 9500 9.9'5' READY TO EAT -.Please Refer `:to Returp.. 3" 3 CS ?3323'7? CHEESE, MOZV ISHRD"FT'HR FS BAG 4/5 LB RQSELI. 8 CS 42.4000 12'7. '?0 READY TO EAT -,Please Peter to Return 'Polio 1 1 CS. 944Q1;�j�C 01VIRR§ AB KO 2: 1 9" REF 4/5 LB HEBRW NATL CS 76.4600 f a y IC,FRQZEN. 2; CS H7 �il I CRE DREAM STICK VNL2f24f3 sC1Z BLUE BUNNY CS 14:9500' 29..9 .3 3 CS 61�1F' P�ZEL, #UT BKD FZN 50/5' OZ` SUPR PRTZL CS 27.6600 8 3 3 CS 46 �.I EAM CUP, ITTIBITZ CQTN 2,4/5 OZ: r" KEMPS CS '5.1000 75.30 3 3 CS 46 T REAM CUP, =ITTIBITZ CK &CR 24/5 QZ KEMPS CS 25.1000 75.30 3. 3 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 1 I {EMPS CS 25.::000 75,30 3 3 CS 4904603 ICE CREAM CUP, GKY DOUGH ITTIB?4f5,QZ KEMPS CS 125..1000 75.30 1 1 a S 5180963 POPSICLE, ASST FLVR HTHCL ON 12/1 -7 41d iSUZ POPSICLE CS 27.7800 27.78 2 2 ;8 9520537 ICE CREAM BAR, _.VNL QRTG .I41 24f4 3}Z` KLQNDTKE CS 16.3000 32.60 Y PRODUCT CLASS RECAP �OTAL OR PIECES ORDERED: 7 PIECE S °SHIPPED: 7 ITEMS SHIPPED' S 261.15 'DOTAL REFRIGERATED PIECES ORDERED: 6 PIECES SHIPPED: 6, ITEMS SHIPPED: 4w 223.56 TOTAL FROZEN PIECES ORDERED: 20' PIECES-SHIPPED: 20 ITEMS' SHIPPED':. 8 474.46 3 t Interest shag ac on a0 unpaid balances exceeding established credit terms at a rate equal to the lesser of (a)1-N %per month or Promotional allowances, cash discounts, prompt pay discounts, grovAh prggrams and all other incentives are retained by U.S. Foodservioe"' (D) the maximum rete Net the customer may lawfully contract io pay, and in all ev.nts callculated in acwrdence wAh epplirable law, and tlo not reduce product cost. Product cost Is defined as the suppker {pecker or any other vendor delivered cost or I,..b. unit pdce plus X atandand freight. less oll•Invoice discounts or of4mvoico allowances g e' gmanulacturer generated dismounts or allowances on pedicular ,1� i items for set periods of time and which are specifically reflected on the invoice) a com for CUSTO VISIt www sfood.,a.,fast and easy way to order. q ,gZf/e�4 ?�acira�uat,ceao. ACCOUNT. IN CE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO.' NUMBER LOC. REP.. ORDERED 90569928.0 ?2573 0.8114/09 05:69575 1054 0062 0.8/13109 Your partner beyond the plate.' TE: 1354.. 1 ORDER NUMBER: 69(:119 BILL C:ARMEL CLAY PARKS &RECREA'T' SHIP CARMEL CLAY PAR6KS<<RECREAT REMIT t}, S. FC30DSERVICEa INC.. TO: 141.1 E. 1' 16TH „ST TO 1235 CENTRAL_ PARK .DR IVE E TO e p CARMEL IN GARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN 46266 0088. ATT. MICHELLE COMPTON DEPT, 00 800 428 .21 18. SHIPPED FROM: 1 2301 CUMBERLAND R D I SHER_ S I N SHIP DATE: 08 1 141 09 Page O2 of 02 FREIGHT TERMS: SPECIAL' DRIVER CANNOT`:, DELIVER ON THE ROUNDABOUT OUT IN PAYMENTTERMS: NET 3O DAYS INSTRUCTIONS: QTY OTY. SALES PRODUCT C p PRICING :UNIT EXTENDED ORDERED SHIPPED UNIT, NUMBER DESCRIPTION' PACK SIZE LABEL D. WEIGHT UNIT PRICE PRICE TOTAL FROZEN PIECES ORDERED: 17 PIECES SHIPPED: 17_' ITEMS SHIPPED: 8 646:89 INVQ E SUMMARY TOTAL WST SHIPPED: 379.94 PIECES ORDERED: 44 PIECES SHIPPED: 42 ",l'TEMS SHIPPED: 25 'PRODUCT TOTAL: 1222:'S5 a TAXABLE AMQUNT. .'00 GEN SALES TAX X .00 PLEASE REMIT THIS AMOUNT BY 09/13/09 AMt]UNT J.'42'22.,85 n Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1 -X %per monN a T allowances, cash discounts, prompt pay discwnts, growth programs end all oNer incentives are retained by U.S. Foodservice"' aAA, 1A 1 {Nk `f FF 1) 1 (b) the maximum rate that the customer may IawNty contract to pay, and in a0 events calculated m aaoN o O I applicable law do dot reduce product cost, Product cost is defuied as the supplier, packer or any other vendor delivered cost or I o.b. unit -\k 1 t erandard freight less o," invoice tliswunts gr od- invoice allowances (i.e., manufacturer generated discounts or allowances on.peNaWr S O4xd: o-1, j setperiodsoftimeand CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy ay to order. w Zf/e�fj!'yGzeclate �acuc �dcaCoseao ACCOUNT INVOICE•'• INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. 'N0 DATE NO. NUMBER LOC.. REP. r ORDERED 9856992 037257 8/14/09`90569575 01 jT; 1054 0062 08/ 13,/09 Your partner beyond the plate.' 21 tDEUVERY- ROUTE: Z 3S4 Z ORDER NUMBER: 690i1 BILL CARMEL CLAY PARKS&RECREAT,' SHIP' `CARMEL CLAY PARKS :RECREAT REMIT U.S. FOODSERV.ICE, INC. TO: 1411'E. 116TH ST To: 235 CENTRAL PARK DRIVE E TO: BOX 660088. CARMEL IN CARMEL IN .r 4'6032 46032 IND IN 46266 0088'' ATT. MICHELLE COMPTON DEPT Q# 00 800 428 2.118 SHIPPED FROM:_ 230 1 CUMBERLAND, RD,. +FISHERS IN SHIP DATE: 08J14J09 Pa g' a 01 of 02 FREIGHT TERMS: SPECIAL DRI VER CANN©V7: DELIVIER ON THE ROUNDABOUT OUT -IN PAYMENTTERMS: NET, 30 ,DAYS ?,.y INSTRUCTIONS: QTY Ott. SALES PRODUCT p PRICING UNIT EXTENDED ';:DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT' NUMBER t l D UNIT PRICE PRICE Y' DRY G 2 2 CS 3017001 'CIRCLE, .;PI.ZA,12 100 EA PACKER CS 13:6460 27:28 1 'I CS 3256104 LID,. CUP SLTD 12 -24 OZ PLS10 /100 EA HAHDI -KUP CS 16:1000 16:10 5 S GS 4329769 KETCHUP, ;xh` :SQZ FOIL'SS SHLF200 /9 GR MONARCH CS 9.0900 45.45 1 9, CS 4518809. TRAY, PAM- 5 LB SAGE. 21250 EA MONOGRAM C$ 48.2200 48: 2 0 EA,: 5083514 CANDY,..M&ff .P 1.69 OZ' "48: EA M M 1 1'­' CS, 5337712 SAUCE,. PIZR TMTO 61 10 CN ROSELT"' CS 33.9900 33.99 i 1 CS 5597968 CHIP, CORN R BAG 64/2 OZ FRITOS CS 26"...9500." 26.°95 2 2. CS 5601679 CHIP, POT','REG PLN RAG 64/1 5 OZ LAYS x CS 26 ".9500 53.:90 2 2:', EA. 62.10777 CADDY, KIT `KAT VNDG STD 1.5. Z 36 'EA KIT ;KAT. EA 23..4500. 46.10 1 -1 CS 6213862 CREAMER, HZLNT .SS NONDARY ISO/ :375.:OZ COFFEEMATE si CS,.. 10.2000 10.20 1' 1. EA 8036576 CANDY, .M &M ,PNV 1. 74 OZ 48 EA M M EA 30.4300 30, 1 •1 CS: 9213869 CREAMER, FRNCH,VNL.SS'NONDARY 180/.375 OZ GOFFEEMATE CS, 10.2000 10 20 1 .,1 CS 9328311 WRAP, FOI!!%2Xj,.0 .INFLD 12/200 EA. MONOGRAM Biv. CS 72.4900 72.41. REFRIGERATED i i -EA 2335842 DRESSIi4G, ;CSR CLSC REF.. 1 GA MONARCH. B: EA 21.9700 X1 7 i CS 5006556 BANANA, Gkk FRESH 10 LB 'PACKER CS 7,6100 7.61 1 CS. 6329676, PEPPERONI`;.:. Y SLCD.14 -16 CT. NO 2/5 LB ROSELI CS 30: 30.32 i 1 CS, 73 97775 YOGURT. PK ..STWBY BANA 1216 OZ YOPLAIT� C "S 9..4500- 9.9 READY TOTAT. Please Refer to R PDIicy 2 2 CS 7332372 CHEESE, M4ZZ SAD FTHR PS BAG 4/5 R TIN GS 42:X4404 84.80 READY TO EAT -Please Refer to Re u F I. FROZEN 3 3 CS 20] 1 276 PRETZEL, K ING: SOFT ,BKO FZN 50/5. OZ SUPR- PRTZL- 27. "00 82.98 1 1' CS 2277663 ICE CREAM,;,BAR, 'REESS PNT..BUTR 24/4 OZ GOOD HUMOR CS 16:6900 16:69 _I P 1 CS 4450854 COFFEE, LT',Q DEGAF PREM RST' FZN4/ LT. MAXWELL: HS CS 129.0900. 129.09: r 13 3 CS 46905'25 ICE' CREAM':�UP, ITTIBITZ CK &CR 24/5 OZ KEMPS -CS' 25.1000 75: 30 3, 3 CS 4904603 ICE CREAMS CUP' `CKY DOUGH ITTIB24 /5 'OZ KEMPS F, CS; 25.1000 75.30 ,1 1 CS 562278:% CHI.CK£N,'STRIP..FJTA CKD 4/5 LB FIERCE CS 63. $540 b3: 85. 1 1 CS 6450852 COFFEE, LIB' PREM RST••FZN 4/1 LT MAXWELL H5 mo CS 128.1200; 128.12 4 4 CS 6187999 ICE CREAM';:l3ARt CNOC TACO �1NL24/4 OZ KLONDIKE CS 18.8900 75:56 PRODUCT RECAP TOTAL DRY PIECES ORDERED 21. PIECES SHIPPED: 19 :ITEMS SHIPPED: 12- 421.31 TOTAL REFRIG pT£D PIECES ORDERED. d PIECES SHIPPED:'. 6 ITEMS SHIPPED 5 154_.65 r PromoOonal allowances; cash discounts, rom 1 discounts, rowtt rams and all other incentives are retained U S. Foodsemcs Interest shall accrue on a� unpaid balances exceeding established credit terms at a rate equal a t lesser n (a) 1- per month p p pey g prop by b) the maximum rate that the customer may Wwlully contmc to pay, aM in atevenis calculated m accordance with epplrahle Ww arW do not reduce product oust Product.1 Is defired es the supplier; packer or any other vendor delivered coal or f.o.b. unit price plus 'standard f,Zh of "invoice discounts or off- invoice allowances (i.e., manufacturer gemmed discounts or allowances on particular X "i dame for set periods of time and which are specifically mflected on the Imroice)' r CUSTOMERS SIGNATURE: Visit www usfood com fo"r a fast and easy way to order. AOCUUNr nevoi S DfWICEI C:usrohm PUMCFEAM OYIIBR MESS SAEM IIA32 WD ^WnCMVft H 90569922 2978070 07/20/09 90569575 22249� 1 1054 8 0062 07/20/09 DMx /ZtTxOUra: ORDER NUMBER: 668203 CARMEL CLAY PARKS &RECREAT CARMEL CLAY PARKS &RECREAT U.S. FOODSERVICE, INC. BiIJ1411 E. 116TH ST SHIP 1235 CENTRAL PARK DRIVE E REM TO: TO: M BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 A TTCHARLES REDMON DEPT 00 800 428 2118 X12301 CUMBERLAND RD FISHERS IN; 07/17/09 Page 01 of 01 PytffiMr_ KnXSAL PAYWET 30 DAYS r%Tn1Lrn=gs 7MULa QW. QTY. SAUN PRCn= B$6Qr8TION PACK am I�8(iL WBCGIrr PRA UPRr mtom fl MGM UNCr NU1[98R UNIT PE P= CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 2942810 DATE: 07/17/09 FROZEN 2- CS 7412836 JUICE, ORNG 100% CUP FZN 72/4 OZ SUN CUP CS 15.5000 31.00 2 Found Later (Found After Stop) INVOICE SUMMARY TOTAL MGT SHIPPED: 36.00- PIECES SHIPPED: 2- ITEMS SHIPPED: 0 PRODUCT TOTAL 31.00CR Federal Occupation Safetv and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to provide Material Safety Data Sheets on non -food products defined to be hazardous. Products such as cleaning products and pesticides are included in the scope of the Standard. In compliance with the law. MSDS are available to U.S. Foodservice Inc. customers and can be obtained by contactinu the Procurement Manager in our TAXABLE AMOUNT .00 district office or by advising your sales representative. GEN SALES TAX ,00 You may contact Procurement Helpdesk at phone (317) 585 6719. AMOUNT 31.00CR AUG 2 4 Z009 BY: ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 353824 U S FoodService, Inc. Box 660088 Date Due Indianapolis, IN 46266 -0088 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7131109 174430 Concession /food beverage 22343 F 1,133.40 7131109 174428 Concession /food beverage 72.37 8/3/09 190276 Concession /food beverage 22381 F 1,652.24 8/4/09 212748 Concession /food beverage 22382 F 2,123.24 8/7/09 273396 Concession /food beverage 22416 F 4,447.54 8/11/09 309270 Concession /food beverage 22416 p 959.17 8/14/09 372573 Concession /food beverage 22424 F 1,222.85 7/20/09 2978070 credit (31.00) I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 TOTAL 11,579.81 ,20 Clerk- Treasurer Voucher No. Warrant No. Allowed 20 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266 -0088 In Sum of 11,579.81 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 174430 4239040 1,133.40 1 hereby certify that the attached invoice(s), or 1047 174428 4239040 72.37 bill(s) is (are) true and correct and that the 1047 190276 4239040 1,652.24 materials or services itemized thereon for 1047 212748 4239040 2,123.24 which charge is made were ordered and 1047 273396 4239040 4,447.54 received except 1047 309270 4239040 959.17 1047 372573 4239040 1,222.85 1047 2978070 4239040 (31.00) 27 -Aug 2009 22, &yimyma� Signature 11,579.81 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I